Pomilia, Daisy Ruth

Pomilia, Daisy Ruth is an sole proprietor health care provider with primary practice located at 6154 Mission Gorge Rd 120, San Diego CA 92120-3493. She recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as her primary health care specialty. Pomilia, Daisy Ruth can be contacted via phone (619) 285-1718.

Contact Information

Primary practice address
6154 Mission Gorge Rd 120 San Diego CA 92120-3493
Phone: (619) 285-1718
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 370069MN California

Profile Details

NPI number 1770756546
LBN Legal business name Pomilia, Daisy Ruth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2008
Last updated Apr 11th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770756546 NPPES
California MEDICAID 37AL

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